Acta chirurgiae plasticae最新文献

{"title":"From subjective judgment to objective analysis - improving child abuse detection in pediatric burns in the Czech Republic.","authors":"J Bartková, R Ogawa","doi":"10.48095/ccachp2025137","DOIUrl":"https://doi.org/10.48095/ccachp2025137","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"137-138"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of lymphovenous anastomosis and vascularized lymph node transfer in lymphedema treatment - a literature review.","authors":"S Theiner, M Lacková, R Russo, Z Dvořák, B Lipový, M Knoz","doi":"10.48095/ccachp202542","DOIUrl":"10.48095/ccachp202542","url":null,"abstract":"<p><strong>Background: </strong>Lymphovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT) are both accepted microsurgical treatment options for lymphedema. This article summarises and analyses recent data on outcomes associated with LVA and VLNT for lymphedema treatment at varying degrees of severity.</p><p><strong>Methods: </strong>Literature research was conducted in the PubMed and Embase Ovid database to extract articles published through March 2024. The included studies report data on objective and subjective improvement in lymphedema after physiological surgical procedures as LVA and VLNT. Extracted data comprised number of patients, affected limbs, staging of the disease, duration of the follow up period, objective and subjective improvement and percentage of discontinuation of compression garments.</p><p><strong>Results: </strong>A total of 23 articles were included in this article, representing 1,944 patients suffering from either primary or secondary lymphedema. The lymphedema stages were classified by classification of International Society of Lymphedema (ISL stage) or Campisi stage and range from stage I to III, as well as prophylactic indication for surgery. The follow-up duration ranged from 3 months to 8 years. Objective improvement was achieved in 82.76-100% and measured in circumferential reduction rate and reduction of cellulitis episodes. In 80-100% of the patient's subjective improvement was seen, which was measured in quality of life and personal feedback. The percentage of patients able to discontinue the use of compression garments ranges from 0 to 100%, while others were able to reduce the total time of wearing.</p><p><strong>Conclusion: </strong>LVA and VLNT are both safe and effective techniques for the surgical treatment of lymphedema in several stages. LVA should be preferred if the lymph vessels preserved its patency, otherwise VLNT might be the therapy of choice. Combinations of various procedures with an appropriate postoperative treatment plan might lead to improved patient outcomes.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"42-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Landmarks in facial reanimation - a bibliometric analysis of the 50 most cited papers in dynamic facial reconstruction.","authors":"J E Telich-Tarriba, A Rivera Del Río-Hernández, R Esquiliano-Raya, X González-López, C Domínguez Suárez","doi":"10.48095/ccachp202555","DOIUrl":"https://doi.org/10.48095/ccachp202555","url":null,"abstract":"<p><strong>Background: </strong>Advances in the field of facial reanimation surgery have resulted in an increase in the quantity of published research in the international literature. The aim of this work is to provide the reader a synthesized view of the most influential themes, articles and authors in this field.</p><p><strong>Material and methods: </strong>We searched the Clarivate Analytics Web of Science Citation Index to identify the 50 most cited papers in dynamic facial reanimation in the past 70 years. Data regarding article title, authors, year of publication, total citations and citation index was obtained. Results are presented using descriptive statistics.</p><p><strong>Results: </strong>The most cited articles were distributed in 16 journals. Plastic and Reconstructive Surgery had the highest number of highly cited works with 27 articles, followed by JPRAS (5 papers) and the Journal of Neurosurgery (4 papers). The United States contributed most (17 papers), followed by Canada and Japan (6 each). Dr. Julia K. Terzis was the most cited author (7 works). Case series and comparative studies were the most prevalent type of article published (96%) from 1953 to 2015. The most cited paper focused on free functional muscle transfer (FFMT). Most articles were level IV research, with a mean citation index of 5.27 ± 2.85.</p><p><strong>Conclusion: </strong>This collection offers a clear overview of the key milestones and advancements in the field. We expect it serves as a practical resource for clinicians and researchers striving to advance the science and practice of facial reanimation surgery.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the potential of MRI studies in assessing risks during arthroscopy - insights on maxillary artery encounter.","authors":"B Borza, K Glinska, P Kizek","doi":"10.48095/ccachp2025106","DOIUrl":"https://doi.org/10.48095/ccachp2025106","url":null,"abstract":"<p><p>The anatomy and variability of the maxillary artery have been extensively studied through cadaveric dissections and CT angiography, revealing diverse courses of its terminal branches. These studies underscore the importance of understanding regional anatomy, particularly in surgical contexts such as intraoral vertical ramus osteotomy and temporomandibular joint (TMJ) arthroplasty, where proximity to the maxillary artery in the infratemporal fossa poses risks of complications. MRI offers distinct advantages in visualizing soft tissues critical to TMJ function, surpassing conventional imaging modalities like orthopantomography in providing detailed anatomical insights. This study aims to assess the risk of iatrogenic damage to the maxillary artery during arthroscopic procedures using MRI scans. A total of 42 patients, comprising both sexes and varying ages, underwent MRI at the Department of Maxillofacial Surgery, University Hospital Louis Pasteur in Košice. Imaging protocols were standardized on a Toshiba Atlas 1.5 Tesla MRI scanner, ensuring consistent quality with a slice thickness of 6 mm and standardized imaging matrices. Measurements of the maxillary artery's proximity to anatomical landmarks were conducted in axial and parasagittal sections to delineate precise anatomical relationships.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management of accessory breast tissue: liposuction and mastectomy in axillary localization - a case series.","authors":"D Ar-Reyouchi, S Saoud, M Benlili, G Charkaoui Belmaati, A A Oufkir","doi":"10.48095/ccachp2025127","DOIUrl":"https://doi.org/10.48095/ccachp2025127","url":null,"abstract":"<p><p>Supernumerary breasts are a rare congenital malformation that can cause physical and psychological problems such as pain, infection, bleeding and aesthetic discomfort. In this article, we present a series of cases with bilateral axillary supernumerary breasts who were treated with liposuction and mastectomy, with satisfactory results. We also discuss the different surgical techniques available for the treatment of supernumerary breasts and their respective advantages and disadvantages.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prof. Pavel Brychta, MD, CSc.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"139-140"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of flap sugar as an objective monitoring of intra-operative flap vascularity following a single vein vs. a double vein anastomosis.","authors":"A Sindhuja, S A Sahu, J K Mishra, A Saha, J J Rahmi, A Valsalan","doi":"10.48095/ccachp202522","DOIUrl":"https://doi.org/10.48095/ccachp202522","url":null,"abstract":"<p><strong>Introduction: </strong>Venous thrombosis is a common cause of flap failure. Performing a second vein anastomosis provides a backup channel for draining. However, this may not be useful in circumstances of vessel kinking and compression. When a flap is compromised, there is a decrease in glucose levels and an increase in anabolic metabolites like lactate. In our study, we measured the ratio of flap/peripheral sugar levels (glucose index - GI) as a metabolic indicator and assessed flap perfusion after the second vein anastomosis.</p><p><strong>Materials and methods: </strong>This was a single-centre prospective cohort study. Based on the inclusion criteria, eligible patients reconstructed with a free flap (anterolateral thigh flap / radial forearm flap / fibula flap) were included in the study.</p><p><strong>Results: </strong>In our series, the mean flap sugar levels after the first and the second vein anastomoses were 116.60 mg/dL and 131.5 mg/dL, respectively. There was an increase in the flap sugar level after the second vein anastomosis. This increase was found statistically significant (P = 0.009), suggestive of better perfusion. In this study, the flap/peripheral glucose level (GI) ratios after the first and the second vein anastomoses were 0.90 and 0.99, respectively. The increase in this ratio after the second vein anastomosis indicated better flap perfusion after a double vein anastomosis.</p><p><strong>Conclusion: </strong>The study concluded that there is a better perfusion after a double vein anastomosis.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The middle-aged women's attitudes towards (anti-ageing) cosmetic services in the Czech Republic.","authors":"M Honelová, T Doseděl","doi":"10.48095/ccachp202513","DOIUrl":"https://doi.org/10.48095/ccachp202513","url":null,"abstract":"<p><p>Cosmetic/aesthetic surgery has increased in popularity, reflecting the increased consumer demand. Modern women feel compelled to meet near-impossible standards of beauty. Most of those who undergo cosmetic/aesthetic surgery are (middle-aged) women. Women are often under pressure to meet near-impossible standards of beauty. This study examined cosmetic/aesthetic surgery attitudes and perceptions among 516 Czech middle-aged women. It assessed the perception and attitudes towards cosmetic/aesthetic procedures of middle-aged Czech women and determined the possible factors influencing their level of acceptance through a quantitative survey. The research findings are based on an online questionnaire survey. Based on our analyses, we revealed that acceptance and attitudes towards cosmetic/aesthetic surgery among women can be influenced by the variables such as marital status, place of living, fear of ageing, the importance of physical appearance, occupational status, and partner's influence. This study provided a first general look at the situation around cosmetic/aesthetic surgery in the context of the Czech Republic. However, to gain a more comprehensive understanding of the acceptance and attitudes towards cosmetic/aesthetic surgery in the Czech Republic, further research should be conducted across the country to assess the attitudes of the wider population (for example, different age groups).</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"13-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Varied presentation of female external genitalia - a record analysis.","authors":"K N Manjunath, P Nagwani, P Sanmati, M S Venkatesh, S Chilikuri S","doi":"10.48095/ccachp202599","DOIUrl":"10.48095/ccachp202599","url":null,"abstract":"<p><p>Ambiguous genitalia, a cluster of varied presentations classified as disorders of sexual development (DSD), involves a spectrum of manifestations affecting both internal and external genital organs. Diagnosing and treating these disorders is complex and requires a multidisciplinary approach. This article aims to explore the complexities and challenges of diagnosing and managing DSD. These cases highlight the importance of genetic, phenotypic, and biochemical evaluations in achieving accurate diagnosis and treatment plans, which may include surgical interventions and psychological support. The cases presented include individuals with 46,XY and 46,XX DSD, highlighting conditions such as MRKH syndrome, recto-vaginal fistula, and persistent urogenital sinus, androgen insensitivity syndrome each with unique clinical presentations and treatment challenges. Treatment options, such as McIndoe vaginoplasty, and considerations regarding psychological counselling and legal gender assignment further complicate the management of DSD, emphasizing the need for a comprehensive, individualized care approach.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free advancement ipsilateral medial plantar artery flap to encompass the entire plantar aspect of the foot - a case report and comprehensive review.","authors":"Z Q Lin Wu, B López-Masramón, V Andreu-Solà, J P Barret","doi":"10.48095/ccachp2025132","DOIUrl":"https://doi.org/10.48095/ccachp2025132","url":null,"abstract":"<p><p>Sarcomas affecting weight-bearing areas of the foot are a rare disease and represent a reconstructive challenge. The medial plantar artery (MPA) flap offers an optimal \"like with like\" reconstructive option for the sole. However, it has certain limitations such as the limited reach of the vascular pedicle, vascular impairment associated with retrograde flow flap or the morbidity of using contralateral foot as a free flap donor site. We present a case of a 30-year-old male with left sole forefoot defect after sarcoma excision. Because of the previous excision surgery along with the wish to avoid morbidity in the contralateral foot, reverse flow MPA flap and contralateral free MPA flap were ruled out. Reconstruction using an ipsilateral anterograde flow MPA flap with pedicle extension using a grater saphenous vein loop to advance the flap and reach the defect was proposed. After 9 months of reconstruction, the patient achieved full weight-bearing and ambulated normally without any complications. We propose this method of elongating the pedicle of the MPA flap as an optimal procedure, capable of encompassing mid-size defects in the entire sole of the foot. This approach reduces the morbidity associated with using the contralateral foot and avoids sacrificing other vascular axis in the affected foot for use as a recipient vessel. Although complications of the harvesting site are known, we believe that MPA flap is still the best option for reconstructing the weight bearing area.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"132-136"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}